Fiedler, in 1889, described an uncommon type of myocarditis, which he designated as acute interstitial myocarditis. There have been reported in the continental literature thirty-six cases with postmortem studies. In this country, Scott and Saphir1 were the first to call attention to this disease. They reported two cases of their own, and later cases were reported by Bailey and Andersen,2 de la Chapelle and Graef3 and Maslow and Lederer.4
The condition has been variously designated as "interstitial," "circumscribed," "diffuse," "isolated," "idiopathic" and "primary" myocarditis.
The clinical picture is one of progressive myocardial failure, with or without pain in the chest, usually following some widespread infection. Bailey and Anderson point out that:
In a large number of the reported cases the myocardial failure started during or shortly after an acute infection. In one of Kaufmann's cases the patient had an infected burn, and the other, an infection
MAXWELL ES, BARRETT CC. ACUTE INTERSTITIAL MYOCARDITIS: REPORT OF A CASE FOLLOWING A SEVERE DERMATITIS DUE TO SULPHUR OINTMENT. Arch Derm Syphilol. 1934;29(3):382–386. doi:https://doi.org/10.1001/archderm.1934.01460090051006
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